Dr. Tara Petersen
M.D. | Pediatric Critical Care Medicine | Female
Dr. Tara Petersen, M.D. is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Tara Petersen is
9000 W Wisconsin Ave, Ms 681, Milwaukee, Wisconsin - 53226-4874. She can be contacted on phone at
414-266-3360 and fax number 414-266-3563.
Dr. Tara Petersen is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tara Petersen is
1427255785 which was assigned by NPPES on 29 Jun, 2007 and it was last updated on 02 Dec, 2019.
Dr. Tara Petersen license number is
61162 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Wisconsin.
Dr. Tara Petersen is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Tara Petersen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Dr. Tara Petersen |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Tara Petersen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave, Ms 681
Milwaukee, WI, 53226-4874
United States |
|---|
| Phone Number : | 414-266-3360 |
|---|
| Fax Number : | 414-266-3563 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427255785 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 29 Jun, 2007 |
|---|
| Last Updated On : | 02 Dec, 2019 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tara Petersen are as mentioned. Primary taxonomy code for Dr. Tara Petersen, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MT189036 | PA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 61162 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tara Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1427255785 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave, Ms 681
Milwaukee, WI, 53226-4874
United States |
|---|
| Phone Number : | 414-266-3360 |
|---|
| Fax Number : | 414-266-3563 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Tara Petersen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.